Oliver Street Dermatology Asc Llc is an Ambulatory Surgical Clinic/Center based in Tyler, TX and is specialized in Ambulatory Surgical. Oliver Street Dermatology Asc Llc practices in Tyler, TX. The NPI Number for Oliver Street Dermatology Asc Llc is 1700822335 and holds a License No. 007937 (Texas).
The current practice location address for Oliver Street Dermatology Asc Llc is 1367 Dominion Plaza, Tyler, TX and can be reached out via phone at 903-534-6200 and via fax at 903-939-0755.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00044713 | 01 | TX | RAILROAD MEDICARE PTAN |
| 162384501 | 05 | TX |
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